MRS. MINDY MARIE CARNEY (NPI# 1396044780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396044780 |
| Entity Type | Individual |
| Full Name | MRS. MINDY MARIE CARNEY |
| Other Name | MS. MINDY MARIE YAEGER |
| Credential | PA-C |
| Practice Address |
1015 Bowles Ave Fenton MO 63026-2394 |
| Practice Telephone | 6364962000 |
| Mailing Telephone | 6364962000 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2012006738 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1015 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687059 | Robert Brunton Smith | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2005-11-22 |
| 1235756149 | Megan Poucher | Student in an Organized Health Care Education/Training Program | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-26 |
| 1598389306 | Andrew Richardson | Nurse Anesthetist, Certified Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-08 |
| 1538714688 | Galen Inpatient Physicians Inc. | Internal Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-06 |
| 1093360414 | Cep America LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-02 |
| 1427525468 | Paige Cathleen Hagen | Pharmacist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2018-10-29 |
| 1700303765 | Anne M Reeb | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-08-29 |
| 1851828297 | Erin Fagan | Occupational Therapist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-05-16 |
| 1437681418 | Matthew Schwab | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-03-30 |
| 1144678285 | Wilka Yaneth Vincent | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215486733 | Angela Carol Braun | Physician Assistant | 2419 Grove Park Rd, Fenton, MI 48430-1443 | 2016-09-26 |
| 1518325059 | Jamie Wolverton | Physician Assistant | 8162 Driftwood Dr, Fenton, MI 48430-9046 | 2016-01-28 |
| 1528088051 | Tori Renee Sutton | Physician Assistant | 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | 2006-07-20 |
| 1114382637 | Blayne David Baggett | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2015-12-29 |
| 1588067904 | Julie Christine Pfeifle | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2014-09-30 |
| 1083015788 | Melissa Littell | Physician Assistant | 17200 Silver Pkwy, Fenton, MI 48430-4437 | 2014-09-12 |
| 1770832792 | Fenton Emergency Group LLC | Physician Assistant | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2012-09-05 |
| 1447582234 | Aya Restrepo | Physician Assistant | 305 N Leroy St, Fenton, MI 48430-2729 | 2010-02-04 |
| 1942227483 | Beth C Weber | Physician Assistant | 714 Gravois Rd, Ste 210, Fenton, MO 63026-7723 | 2006-07-17 |
| 1134165632 | Fenton Medical Center | Physician Assistant | 102 N Adelaide St, Fenton, MI 48430-2670 | 2006-06-22 |
| Find all providers in FENTON | ||||
Please comment or provide details below to improve the information on MRS. MINDY MARIE CARNEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.